Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jose Alberto Ettedgui, MD

Individual provider Pediatric Cardiology Physician · NPI 1316915663

Dr. Jose Alberto Ettedgui, MD is a Pediatric Cardiology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350
Phone: (904) 202-8550
Fax: (904) 393-7808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence ME86378 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME86378 (FL)

Record details

NPI number1316915663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2006
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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